Building stronger communities...person by person.   Welcome Welcome Meet the Board History Annual Report(pdf) Privacy Statement Early Childhood Intervention Introduction Welcome The Process Is This Typical? Make a Referral Information Community Education Newsletters Contact Us Resources Frequently Asked Questions Behavioral Health Welcome Getting Started Warning Signs Payment Options FAQ Other Resources Contact Us Avenues/Substance Abuse Intellect/Develop Disabilities Welcome Getting Started Services Life Stages & Resources Documents FAQs Contact Us Explanation of Intellectual Developmental Disabilities (IDD) Services & Supports - English Explanation of Intellectual Developmental Disabilities (IDD) Services & Supports - Spanish Long Term Services & Supports for Adults & Children - English/Spanish Directory of DADS Services by County DADS – A Message for Families - English DADS – A Message for Families - Spanish Getting Started Intake Documents Intake Form In Home & Family Support Program In Home Family Support Signature Page Community Services STARR Resources STARR Employers STARR Positions STARR Referral Form Residential Programs Group Homes HSC Program HSC & ICF-MR Comparison Chart Employment Overview Available Positions Application Forms Employment Application Background Check Calendar & Events News Articles Contact Us   Off to a great start LifePath Systems Early Childhood Intervention program assists you in giving your child the great start they deserve.    Home > Early Childhood Intervention > Make a Referral Introduction Welcome The Process Is This Typical? Make a Referral Information Community Education Newsletters Contact Us Resources Frequently Asked Questions Who can refer a child to ECI? In most cases a child is referred by his or her parents or by the child's health care provider. Anyone can make a referral, a parent, grandparent, doctor, nurse, friend, social worker, etc. To refer a child simply fill out the form below and click submit. LifePath Systems serves Collin, Kaufman, and Rockwall counties. Child's Information First Name  Last Name  DOB   Sex  MF Hispanic or Latino?  Race   YesNo Select Race American Indian / Alaska Native Asian Black / African American Native Hawaiian / Pacific Islander White Reason for Referral/Concerns  Physical/Motor Vision/Hearing Adaptive/Self Help Speech/Language Social/Emotional Cognitive Medical Global Comments     Your Name Agency Your Phone    Agency Type Select ECI Program Parent/Family/Friend Medical/Health Social Services Educational Other Your Email     Family Information Father's Name Mother's Name Street City Zip   County ISD   Home Phone   Work Phone   Cell Phone   Email   Language Spoken in Home          Please type the characters as you see in the image.(Case insensitive)
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